<span style="font-weight:bold;">Nachricht senden</span>
<br /><br />
<table style="width:100%;" cellspacing="0" cellpadding="0">
	<form action="<{$HOME_URL}>index.php?site=contact&sent" method="post">
	<tr>
		<td class="thirty right">
			<span class="contact title blue">Ihr Name:</span>
		</td>
		<td class="seventy">
			<input type="text" size="40" name="name" class="contact border_blue" value="<{$name}>" />
		</td>
	</tr>
	<{if $sent && !$name}>
		<tr>
			<td class="thirty">&nbsp;</td>
			<td class="seventy">
				<span class="contact red">Name vergessen</span>
			</td>
		</tr>
	<{/if}>
	<tr>
		<td class="thirty right">
			<span class="contact title blue">Ihre Telefonnummer:</span>
		</td>
		<td class="seventy">
			<input type="text" size="5" maxlength="4" name="country_code" class="contact border_blue" value="<{if !$country_code}>+49<{else}><{$country_code}><{/if}>" onkeypress="if (event.keyCode < 45 || event.keyCode > 57) event.returnValue = false;" /> <input type="text" size="6" maxlength="6" name="area_code" class="contact border_blue" value="<{$area_code}>" onkeypress="if (event.keyCode < 45 || event.keyCode > 57) event.returnValue = false;" /> <input type="text" size="14" maxlength="12" name="phone" class="contact border_blue" value="<{$phone}>" onkeypress="if (event.keyCode < 45 || event.keyCode > 57) event.returnValue = false;" />
		</td>
	</tr>
	<tr>
		<td class="thirty">&nbsp;</td>
		<td class="seventy">
			<input type="text" disabled="disabled" value="Land" size="5" class="contact bg_white blue" /> <input type="text" disabled="disabled" value="Vorwahl" size="6" class="contact bg_white blue" /> <input type="text" disabled="disabled" value="Anschluss" size="8" class="contact bg_white blue" />
		</td>
	</tr>
	<tr>
		<td class="thirty right">
			<span class="contact title blue">E-Mail-Adresse:</span>
		</td>
		<td class="seventy">
			<input type="text" size="40" name="email" class="contact border_blue" onfocus="if (value == 'Ihre@email.de') {value =''}" onblur="if (value == '') {value = 'Ihre@email.de'}" value="<{if !$email}>Ihre@email.de<{else}><{$email}><{/if}>" />
		</td>
	</tr>
	<{if $sent && ($email == "Ihre@email.de" || !$email_fit)}>
		<tr>
			<td class="thirty">&nbsp;</td>
			<td class="seventy">
				<span class="contact red">Korrekte Email angeben</span>
			</td>
		</tr>
	<{/if}>
	<tr>
		<td class="thirty right">
			<span class="contact title blue">Betreff:</span>
		</td>
		<td class="seventy">
			<input type="text" style="width:90%;" name="subject" class="contact border_blue" value="<{$subject}>" />
		</td>
	</tr>
	<{if $sent && !$subject}>
		<tr>
			<td class="thirty">&nbsp;</td>
			<td class="seventy">
				<span class="contact red">Betreff vergessen</span>
			</td>
		</tr>
	<{/if}>
	<tr>
		<td class="thirty right top">
			<span class="contact title blue">Nachricht:</span>
		</td>
		<td class="seventy">
			<textarea style="width:90%" rows="10" name="message_text" class="border_blue"><{$message_text}></textarea>
			<{if $sent && !$message_text}>
				<br />
				<span class="contact red">Nachricht eingeben</span>
			<{/if}>
			<br />
			<span class="contact blue">(Zeichen unbegrenzt)</span>
			<br /><br />
		</td>
	</tr>
	<tr>
		<td class="thirty">&nbsp;</td>
		<td class="seventy">
			<input type="submit" class="submit" value="Abschicken"> <input type="reset" class="submit" value="Zur&uuml;cksetzen">
		</td>
	</tr>
	</form>
</table>